EIN: 382853534
UEI: JFKSJFHNA2F1
Audited by: Yeo and Yeo, PC
Oversight agency: 93 [Department of Health and Human Services]
View federal awards & risk assessment →
Data as of August 31, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on December 18, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by June 18, 2026 (76 days ago).
What is a management decision? →FAC accepted this audit on December 19, 2024 — management decision was due June 19, 2025.
FAC accepted this audit on December 11, 2023 — management decision was due June 11, 2024.
We tested 40 sliding fee encounters and noted that 4 of 40 sliding fee encounters were discounted the incorrect amount, 2 of 40 were missing sliding fee applications, and 1 or 40 had an incomplete application. In addition, we noted the sliding fee policy stated that a household should consist of immediate family members living in the same dwelling, however, applications included all individuals living in the household, whether immediate or not. Questioned Costs: None Cause and Effect: The Organization failed to verify sliding fee applications were obtained for all patients receiving discounts and may have incorrectly charged sliding fee discounts to charges. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts should be properly calculated and applied. The Organization should consider internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Lastly, sliding fee policy and applications should be modified to be consistent in the treatment of household members. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Show full finding ▾Hide full finding ▴2023-002 – Significant Deficiency and Noncompliance – Special Tests – Sliding Fee Program information: AL # 93.224 and 93.527, Health Center Program Cluster, Department of Health and Human Services. Criteria: Health centers must obtain sliding fee applications so that amounts owed for health center services by eligible patients are adjusted (discounted) based on the patient’s ability to pay. Condition: We tested 40 sliding fee encounters and noted that 4 of 40 sliding fee encounters were discounted the incorrect amount, 2 of 40 were missing sliding fee applications, and 1 or 40 had an incomplete application. In addition, we noted the sliding fee policy stated that a household should consist of immediate family members living in the same dwelling, however, applications included all individuals living in the household, whether immediate or not. Questioned Costs: None Cause and Effect: The Organization failed to verify sliding fee applications were obtained for all patients receiving discounts and may have incorrectly charged sliding fee discounts to charges. Recommendation: We recommend that sliding fee applications be completed for each sliding fee patient. Procedures should be implemented to verify applications are completed before the encounter is billed. Sliding fee discounts should be properly calculated and applied. The Organization should consider internal sampling throughout the year to verify sliding fee applications are obtained, completed, and agree to the discount applied. Lastly, sliding fee policy and applications should be modified to be consistent in the treatment of household members. Views of Responsible Officials: Management agrees with the finding. Corrective Action Plan: See attached correct plan.
Contact person responsible for corrective action: Cynthia Duncanson, CFO. All findings related to the sliding fee application and calculations are results of occurrences at the front desk. In order to gain a better management of training and monitoring of this process, we have formed a team through the revenue cycle with oversite of front desk staff training, performance tracking and reporting and competency testing. This team consists of 2 revenue cycle supervisors, and 4 superusers. Performance outcomes, including sliding fee application calculation efficiency and application completion, will be reported to the site supervisors monthly, carrying a significant weight on overall performance measures Implementation/ Completion: Team development, immediate. Performance outcome reporting, January, 2024.
FAC accepted this audit on October 24, 2022 — management decision was due April 24, 2023.
FAC accepted this audit on October 28, 2021 — management decision was due April 28, 2022.
FAC accepted this audit on October 19, 2020 — management decision was due April 19, 2021.
FAC accepted this audit on August 21, 2019 — management decision was due February 21, 2020.
FAC accepted this audit on July 29, 2018 — management decision was due January 29, 2019.
FAC accepted this audit on August 29, 2017 — management decision was due March 1, 2018.
FAC accepted this audit on August 30, 2016 — management decision was due March 2, 2017.
GSA_MIGRATION
Show full finding ▾Hide full finding ▴Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
Browse other Single Audit organizations in Michigan →
Track your findings and corrective action plans across audit cycles.
Start tracking findings →Monitor subrecipient audit findings and filing records.
Start monitoring →© 2026 Single Audit Intelligence. All data is public domain.
